withdrawal form

ColorBase Withdrawal form

If you want to cancel the contract, then please fill out this form
and send it back.
1. At
Color Base - Maler- u. Lackierbedarf
Sven Hamann
Neue Siedlung 25
06313 Ahlsdorf OT Ziegelrode
Fax .: +49 (0) 34772-26412
E-mail: kontakt@colorbase.de
2. hereby give notice that (s) I / we withdraw from my / our signed contract for the
Sale of the following goods / provision of the following services:
........................................................................................................................................................
........................................................................................................................................................
(Name of the product, if necessary, order number and price)
3. Appointed on: 4. Received on:
..................... ............................. ........
(Date) (Date)
5. (name, address of the consumer)
.................................................. .......................................
.................................................. .......................................
.................................................. .......................................
............................
7. Date
.................................................. ..
Customer Signature
(Only if you notice)